GORDON A BODZIN - Medical Doctor License in Illinois | # 125036491

GORDON A BODZIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036491

License Status

EXPIRED

Business

N

First Name

GORDON

Middle

A

Last Name

BODZIN

Business Name

GORDON A BODZIN

Original Issue Date

06/06/1997

Effective Date

06/06/1997

Expiration Date

08/15/2003

State

IL

Ever Disciplined

N

LastModifiedDate

04/12/2013